scholarly journals Short-term application of complex decongestive therapy in a pediatric patient with Klippel-Trenaunay syndrome

2020 ◽  
Vol 30 (2) ◽  
pp. 151-155
Author(s):  
Yagmur Cam ◽  
Ilke Keser ◽  
Dilek Erer
Keyword(s):  
Lower Extremity ◽  
Vascular Malformations ◽  
Functional Mobility ◽  
Congenital Disease ◽  
Short Term ◽  
Pediatric Case ◽  
Complex Decongestive Therapy ◽  
Recommended Treatment ◽  
Klippel Trenaunay Syndrome ◽  
Decongestive Therapy

Klippel-Trenaunay syndrome (KTS) is a rare congenital disease characterized by vascular malformations and tissue hypertrophy. The recommended treatment to manage the symptoms of this syndrome is based on conservative methods including complex decongestive therapy. In this article, we report a pediatric case of KTS in whom short-term CDT was applied. A decrease in pain, fatigue, lymphedema, and an improvement in the functional mobility and lower extremity endurance were achieved.

COMPLEX DECONGESTIVE THERAPY VS. THERAPEUTIC EXERCISE TO RESOLVE ACTIVITY LIMITATIONS IN PATIENTS WITH LOWER EXTREMITY LYMPHEDEMA

2011 ◽  
Vol 29 (1) ◽  
pp. 24
Author(s):  
Kevin R. Kunkel ◽  
Kathryn E. Roach ◽  
Neva J. Kirk-Sanchez ◽  
Sherrill Hayes ◽  
William H. Stager
Keyword(s):  
Lower Extremity ◽  
Activity Limitations ◽  
Therapeutic Exercise ◽  
Complex Decongestive Therapy ◽  
Decongestive Therapy

scholarly journals TREATMENT OF SECONDARY LOWER LIMB LYMPHEDEMA AFTER GYNECOLOGIC CANCER WITH COMPLEX DECONGESTIVE THERAPY

Lymphology ◽  
2022 ◽  
Vol 54 (3) ◽  
Author(s):  
F. Liu ◽  
N. Liu ◽  
L. Wang ◽  
J. Chen ◽  
L. Han ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Lower Limb ◽  
Gynecologic Cancer ◽  
Treatment Method ◽  
Imaging Features ◽  
Gynecological Cancers ◽  
Complex Decongestive Therapy ◽  
Before And After ◽  
Decongestive Therapy

Secondary lower extremity lymphedema is a common complication of treatment for gynecological cancers. Conservative therapy plays an important role in the treatment of patients with secondary lower extremity lymphedema; in particular, complex decongestive therapy (CDT) has been recognized as an effective nonoperative technique for these patients. But CDT therapy for secondary lower extremity lymphedema remains a problem in China because this technique and its effectiveness have not achieved widespread use and popularity. Our goal was to assess effects of CDT in patients with secondary lower limb lymphedema after treatment for gynecological cancers. The retrospective study consisted of 60 patients who were treated with 20 sessions of CDT. Assessments included objective changes in limb circumference, degree of LE, imaging features, and incidence of erysipelas before and after CDT treatment. We found that CDT can effectively improve lymph stasis and promote backflow, and decrease circumference, interstitial fluid content, and incidence of erysipelas of lymphedematous lower limb. Our results demonstrate that CDT is an effective treatment method for patients with secondary lower limb lymphedema following treatment for gynecologic cancers. This technique should be more widely utilized and popularized in China to improve the quality of life of millions of patients with secondary lower limb lymphedema.

Short-term Effects of Whole-Body Vibration on Functional Mobility and Flexibility in Healthy, Older Adults

2014 ◽  
Vol 37 (2) ◽  
pp. 58-64 ◽  
Author(s):  
Taishi Tsuji ◽  
Naruki Kitano ◽  
Kenji Tsunoda ◽  
Erika Himori ◽  
Tomohiro Okura ◽  
...  
Keyword(s):  
Older Adults ◽  
Whole Body Vibration ◽  
Functional Mobility ◽  
Whole Body ◽  
Short Term ◽  
Healthy Older Adults ◽  
Body Vibration ◽  
Short Term Effects

Complex decongestive therapy for secondary lymphoedema in women after breast cancer treatment

Physiotherapy ◽  
2015 ◽  
Vol 23 (1) ◽  
Author(s):  
Iwona Malicka ◽  
Dawid Marciniak
Keyword(s):  
Breast Cancer ◽  
Fungal Infections ◽  
Compression Therapy ◽  
Lymphatic Drainage ◽  
Skin Care ◽  
Lymph Edema ◽  
Two Phase ◽  
Complex Decongestive Therapy ◽  
Consolidation Phase ◽  
Decongestive Therapy

AbstractSecondary lymph edema occurs in abort 6-40% of women treated for breast cancer. This is not the only an aesthetic problem. Edema makes serious health complications for example recurrent inflammation and rose, limb elephantiasis, which leads to degenerative changes in the joints, nerve plexus damage and angiosarcoma – cancer with poor prognosis. Early diagnosis and implementation of therapy is very important. Too late intervention difficult the rehabilitation and increases the possibility of complications also. The most important in the reduction of swelling and remove the lymph balance is a complex decongestive therapy (CDT): lymphatic drainage, compression therapy, skin care and exercises. Lymphatic drainage results in increased production of the lymph and movement of the lymph. Compression therapy leads to the reduction in the effective pressure ultrafiltration. Skin care is to prevent bacterial and fungal infections. Exercises makes increase muscle pump action and transport of the lymph. CDT consist of two phase: reduction phase and consolidation phase. It is a most popular method of treatment lymph edema around the world. It is most effective therapy also.

scholarly journals Clinical and angioarchitectural characteristics of spinal vascular malformations of the cervical spine

2020 ◽  
Vol 32 (5) ◽  
pp. 755-762 ◽  
Author(s):  
Waleed Brinjikji ◽  
Elisa Colombo ◽  
Giuseppe Lanzino
Keyword(s):  
Cervical Spine ◽  
Lower Extremity ◽  
Clinical Presentation ◽  
Vascular Malformations ◽  
Case Series ◽  
Acute Onset ◽  
Lower Extremity Weakness ◽  
Arteriovenous Fistulas ◽  
Spinal Vascular Malformations ◽  
Interventional Neuroradiologist

OBJECTIVEVascular malformations of the cervical spine are exceedingly rare. To date there have been no large case series describing the clinical presentation and angioarchitectural characteristics of cervical spine vascular malformations. The authors report their institutional case series on cervical spine vascular malformations diagnosed and treated at their institution.METHODSThe authors retrospectively reviewed all patients with spinal vascular malformations from their institution from January 2001 to December 2018. Patients with vascular malformations of the cervical spine were included. Lesions were characterized by their angioarchitectural characteristics by an interventional neuroradiologist and endovascular neurosurgeon. Data were collected on clinical presentation, imaging findings, treatment outcomes, and long-term follow-up. Descriptive statistics are reported.RESULTSOf a total of 213 patients with spinal vascular malformations, 27 (12.7%) had vascular malformations in the cervical spine. The mean patient age was 46.1 ± 21.9 years and 16 (59.3%) were male. The most common presentations were lower-extremity weakness (13 patients, 48.1%), tetraparesis (8 patients, 29.6%), and lower-extremity sensory dysfunction (7 patients, 25.9%). Nine patients (33.3%) presented with hemorrhage. Fifteen patients (55.6%) had modified Rankin Scale scores of 0–2 at the time of diagnosis. Regarding angioarchitectural characteristics, 8 patients (29.6%) had intramedullary arteriovenous malformations (AVMs), 5 (18.5%) had epidural arteriovenous fistulas (AVFs), 4 (14.8%) had paraspinal fistulas, 4 (14.8%) had mixed epidural/intradural fistulas, 3 (11.1%) had perimedullary AVMs, 2 (7.4%) had dural fistulas, and 1 patient (3.7%) had a perimedullary AVF.CONCLUSIONSThis retrospective study of 27 patients with cervical spine vascular malformations is the largest series to date on these lesions. The authors found substantial angioarchitectural heterogeneity with the most common types being intramedullary AVMs followed by epidural AVFs, paraspinal fistulas, and mixed intradural/extradural fistulas. Angioarchitecture dictated the clinical presentation as intradural shunts were more likely to present with hemorrhage and acute onset myelopathy, while dural and extradural shunts presented as either incidental lesions or gradually progressive congestive myelopathy.

scholarly journals Diagnostic Algorithm for Superficial Venous Malformations in Newborns

2018 ◽  
Vol 3 (4) ◽  
pp. 246-247
Author(s):  
Anca E. Chiriac ◽  
Adrian Naznean ◽  
Cristian Podoleanu ◽  
Simona Stolnicu ◽  
Anca Chiriac
Keyword(s):  
Lower Extremity ◽  
Clinical Examination ◽  
Vascular Malformations ◽  
Flow Characteristics ◽  
Diagnostic Algorithm ◽  
Duplex Ultrasonography ◽  
Venous Malformations ◽  
Clinical Appearance

Abstract Superficial venous malformations can be clinically diagnosed since birth as localized, bluish or purple lesions, especially on the lower extremity, but deep venous malformations are difficult to diagnose only by clinical appearance. The diagnostic algorithm for superficial venous malformations in newborns includes clinical examination and Duplex ultrasonography. The latter allows differentiating tumors (hemangiomas) from vascular malformations and evaluating flow characteristics as well as localizing the site of the malformation.

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